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Research Summary Published in the Proceedings of: 
D. Döpfer1*, U. Desranleau Dandurand2, A. Desrochers3, A. Letellier2, 
S. Quessy2, A. Bourgeois4, C. Frenette Dussault5 & M. Allard2 
1UW-Madison, USA, 2Laboratoire M2, Canada, 3Université de Montréal, Canada, 
4Clinique vétérinaire de Sherbrooke, Canada, 5Université de Sherbrooke, Canada *dopferd@vetmed.wisc.edu 
THYMOX CuSO4 
Working concentration in hoof baths 1% 5% 
MIC at Minimal exposure time with 20% manure 0.004 % 0.019 % 
Comparison of Hoof Bath Solutions for the Prevention 
and Control of Digital Dermatitis in Dairy Cows 
0.8 
0.6 
0.4 
0.2 
0 
M0 M1 M2 M3 M4 
Predicted M-stage prevalence 
as a fraction of 1 
M stage 
Farm 1 (CuSO4) 
Farm 2 (Thymox) 
Farm 3 (Thymox) 
Farm 4 (Thymox) 
Introduction 
Digital dermatitis (DD) is a widespread and costly 
disease in dairy herds. Hoof baths are commonly used to 
prevent DD and many products have been used as hoof bath 
solutions. Among them are copper sulfate (CuSO4) and 
formalin that upon exposure can be hazardous to human 
health and the environment. There is a need to find and test 
new chemicals that are less toxic than CuSO4 and formalin. 
A solution comprising thymol, Thymox, is a safer biocide with 
antimicrobial activity. In vitro studies showed that the Thymox 
inhibited the growth and killed treponemes isolated from 
DD at concentrations lower than the working concentration 
of 1% in hoof baths (Table 1). We hypothesized that the 
Thymox will be effective in controlling DD in endemically 
affected cows housed in free stall barns. 
Table 1. In vitro efficacy on Treponema 
Materials and Methods 
Four dairy farms (650 cattle) were enrolled in this field 
trial. The feet were evaluated at week 0, 6 and 12. The 
M-stages were used to record the stages of DD lesions: 
M0 no lesions, M1: small focal lesions (<2cm in diameter), 
M2: acute active lesions (>2cm in diameter), M3: healing 
lesions and M4: chronic lesions (Berry et al., 2012). Farm 
1 went through a 5% CuSO4 hoof bath 3x/week once per 
day, while the other three farms adopted Thymox at 1%. 
Locomotion and hygiene were also scored in this study. 
The number of transitions between the M-stages were 
counted and transformed into a probability matrix able 
to predict the relative frequencies of the M-stages after 
prolonged periods of time. 
Results 
The multi-states model showed that CuSO4 on farm 1 
was associated with significantly less M2 lesions 
compared to all three farms on Thymox, at the same time 
significantly less healing stages M3 were to be expected on 
the Thymox farms. The number of normal legs without signs 
of DD was significantly lower on farm 2 and higher on farm 
4, while early M1 stages were significantly higher on farms 
2 and 4 compared to farm 1. The number of M4 stage was 
significantly lower on farm 4 only when compared to farm 1 
(Figure 1). 
Discussion 
Chronic lesions are the long-term reservoirs of DD and 
the precursors of active lesions. Increased chronic lesions 
become a problem under the impact of risk factors such 
as bad hygiene. It is extremely common that products 
result in more chronic lesions compared to CuSO4, which 
was not observed with Thymox. In this study, the Thymox 
product was associated with the prediction of equal or less 
chronic lesions, and in one farm, significantly more normal 
legs. This work is an example of a long-term study that yields 
results able to show effects of the hoof bath solutions on DD. 
It is strongly advised to take these long-term effects into 
account when adopting new hoof bath agents. Finally, early 
detection and prompt topical treatment of active M2 lesions 
are essential for the success of a hoof bathing strategy. 
Figure 1. Long-term prediction of M stages for each farm.
Acknowledgment 
Thanks to Agriculture and Agri-Food Canada (Agricultural 
Innovation Program). 
Reference 
Berry SL, Read DH, Famula TR, Mongini A and Döpfer D 
2012 Long-term observations on the dynamics of bovine 
digital dermatitis lesions on a California dairy after topical 
treatment with lincomycin HCl. Vet J. 193:654-658 
External contributions 
This project was reviewed by Agriculture and Agri-Food 
Canada to benefit from a contribution agreement via the 
Agricultural Innovation Program (AIP). 
The protocol of this research project was evaluated 
by University of Montreal’s ethic committee who gave their 
approval to conduct this project on cattle. 
The in vitro experiments done to demonstrate the effica-cy 
of THYMOX against digital dermatitis pathogens were 
conducted by Dr Dörte Döpfer at University of Wisconsin- 
Madison. 
The statistical analysis of the data was done by Dr Dörte 
Döpfer at University of Wisconsin-Madison. 
André Desrochers, DMV from University of Montreal and 
Dr Cédric Frenette Dussault from University of Sherbrooke 
gave strong advice for the experimental design and the 
data analysis. 
All the cow observations were done by Antoine Bourgeois 
DMV from the Clinique Vétérinaire de Sherbrooke.

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Thymox technology research-summary-comparison-of-hoof-bath-solutions

  • 1. Research Summary Published in the Proceedings of: D. Döpfer1*, U. Desranleau Dandurand2, A. Desrochers3, A. Letellier2, S. Quessy2, A. Bourgeois4, C. Frenette Dussault5 & M. Allard2 1UW-Madison, USA, 2Laboratoire M2, Canada, 3Université de Montréal, Canada, 4Clinique vétérinaire de Sherbrooke, Canada, 5Université de Sherbrooke, Canada *dopferd@vetmed.wisc.edu THYMOX CuSO4 Working concentration in hoof baths 1% 5% MIC at Minimal exposure time with 20% manure 0.004 % 0.019 % Comparison of Hoof Bath Solutions for the Prevention and Control of Digital Dermatitis in Dairy Cows 0.8 0.6 0.4 0.2 0 M0 M1 M2 M3 M4 Predicted M-stage prevalence as a fraction of 1 M stage Farm 1 (CuSO4) Farm 2 (Thymox) Farm 3 (Thymox) Farm 4 (Thymox) Introduction Digital dermatitis (DD) is a widespread and costly disease in dairy herds. Hoof baths are commonly used to prevent DD and many products have been used as hoof bath solutions. Among them are copper sulfate (CuSO4) and formalin that upon exposure can be hazardous to human health and the environment. There is a need to find and test new chemicals that are less toxic than CuSO4 and formalin. A solution comprising thymol, Thymox, is a safer biocide with antimicrobial activity. In vitro studies showed that the Thymox inhibited the growth and killed treponemes isolated from DD at concentrations lower than the working concentration of 1% in hoof baths (Table 1). We hypothesized that the Thymox will be effective in controlling DD in endemically affected cows housed in free stall barns. Table 1. In vitro efficacy on Treponema Materials and Methods Four dairy farms (650 cattle) were enrolled in this field trial. The feet were evaluated at week 0, 6 and 12. The M-stages were used to record the stages of DD lesions: M0 no lesions, M1: small focal lesions (<2cm in diameter), M2: acute active lesions (>2cm in diameter), M3: healing lesions and M4: chronic lesions (Berry et al., 2012). Farm 1 went through a 5% CuSO4 hoof bath 3x/week once per day, while the other three farms adopted Thymox at 1%. Locomotion and hygiene were also scored in this study. The number of transitions between the M-stages were counted and transformed into a probability matrix able to predict the relative frequencies of the M-stages after prolonged periods of time. Results The multi-states model showed that CuSO4 on farm 1 was associated with significantly less M2 lesions compared to all three farms on Thymox, at the same time significantly less healing stages M3 were to be expected on the Thymox farms. The number of normal legs without signs of DD was significantly lower on farm 2 and higher on farm 4, while early M1 stages were significantly higher on farms 2 and 4 compared to farm 1. The number of M4 stage was significantly lower on farm 4 only when compared to farm 1 (Figure 1). Discussion Chronic lesions are the long-term reservoirs of DD and the precursors of active lesions. Increased chronic lesions become a problem under the impact of risk factors such as bad hygiene. It is extremely common that products result in more chronic lesions compared to CuSO4, which was not observed with Thymox. In this study, the Thymox product was associated with the prediction of equal or less chronic lesions, and in one farm, significantly more normal legs. This work is an example of a long-term study that yields results able to show effects of the hoof bath solutions on DD. It is strongly advised to take these long-term effects into account when adopting new hoof bath agents. Finally, early detection and prompt topical treatment of active M2 lesions are essential for the success of a hoof bathing strategy. Figure 1. Long-term prediction of M stages for each farm.
  • 2. Acknowledgment Thanks to Agriculture and Agri-Food Canada (Agricultural Innovation Program). Reference Berry SL, Read DH, Famula TR, Mongini A and Döpfer D 2012 Long-term observations on the dynamics of bovine digital dermatitis lesions on a California dairy after topical treatment with lincomycin HCl. Vet J. 193:654-658 External contributions This project was reviewed by Agriculture and Agri-Food Canada to benefit from a contribution agreement via the Agricultural Innovation Program (AIP). The protocol of this research project was evaluated by University of Montreal’s ethic committee who gave their approval to conduct this project on cattle. The in vitro experiments done to demonstrate the effica-cy of THYMOX against digital dermatitis pathogens were conducted by Dr Dörte Döpfer at University of Wisconsin- Madison. The statistical analysis of the data was done by Dr Dörte Döpfer at University of Wisconsin-Madison. André Desrochers, DMV from University of Montreal and Dr Cédric Frenette Dussault from University of Sherbrooke gave strong advice for the experimental design and the data analysis. All the cow observations were done by Antoine Bourgeois DMV from the Clinique Vétérinaire de Sherbrooke.